Organization Active NPI

Dr Patrick Fleming PLLC Allegany Optometry

  • Optometrist
  • Winchester, VA
National Provider Identifier
1063597276
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0603000059 Issued in VA
Legal business name
DR PATRICK FLEMING PLLC ALLEGANY OPTOMETRY
Doing business as
Allegany Optometry
Practice address
2028 S Pleasant Valley Rd
Winchester, VA 22601
Phone
(540) 722-3217
Fax
(540) 722-3219
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Patrick Mills Fleming, OD
Title
OD Owner
Phone
(304) 267-9911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0603000059 VA Primary

Addresses

Primary practice location

2028 S Pleasant Valley Rd
Winchester, VA 22601

Mailing address

19336 Leitersburg Pike
Hagerstown, MD 21742
Phone (301) 582-0675

Other identifiers 1

IdentifierTypeStateIssuer
0870510001OtherMEDICAE NATIONAL SUPPLIER

Other names 1

  • Allegany Optometry Doing business as

National Provider Directory

National Provider Directory

Locations

2028 S Pleasant Valley Rd
Winchester, VA 22601
Phone (540) 722-3217

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063597276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19336 LEITERSBURG PIKE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "21742",
            "telephone_number": "301-582-0675",
            "fax_number": "301-582-3293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 S PLEASANT VALLEY RD",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "22601",
            "telephone_number": "540-722-3217",
            "fax_number": "540-722-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PATRICK FLEMING PLLC ALLEGANY OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "MILLS",
        "authorized_official_title_or_position": "OD OWNER",
        "authorized_official_telephone_number": "304-267-9911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0603000059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAE NATIONAL SUPPLIER",
            "identifier": "0870510001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allegany Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.